Organization
THOMAS A UPSHAW, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A UPSHAW M.D. (PRESIDENT)
(843) 754-4655
Entity
Organization
Contact information
Practice address
728 S SHELMORE BLVD STE 103, MT PLEASANT, SC 29464-1601
(843) 972-0262
(843) 972-0263
Mailing address
1336 NEWPORT CT, DANIEL ISLAND, SC 29492-8262
(843) 754-4655
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
18101
SC
Other
Enumeration date
07/17/2012
Last updated
09/18/2023
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